Myalgia, Obtundity and Fever in a Patient with a Prosthesis

Abstract

Objective: We describe a rare case of group G streptococcus (GGS) sepsis complicated by bacterial toxin myopathy. Case: A 65-year-old man, with a history of infection of his shoulder prosthesis, presented with multiorgan failure and notable myalgia likely caused by toxins. The patient was treated successfully with antibiotics and prosthesis removal. Conclusion: This case suggests infection by GGS should be considered in a patient presenting with myalgia associated with sepsis.

Keywords

• Group G streptococcus
• streptococcal toxic shock syndrome
• myopathy
• myalgia
• myositis